Neck and Head Heat: When to See a Family Medicine Specialist - Family Medicine

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If the back of your head feels warm while lying down, which specialist should you see? I've seen many specialists, undergone numerous tests, and spent a lot of money?


I used to sit for long periods every day, combined with smoking and a diet high in salt and oil.
I have been eating a lighter diet and have quit smoking for six months now.
However, whenever I sit for more than an hour, my upper body starts to feel warm, particularly in the back of my neck, the back of my head, and my ears.
This warmth spreads from my head to my upper body, and I even experience discomfort such as chest tightness, difficulty breathing, and a rapid heartbeat.
The dizziness is particularly troubling, and it makes me feel suicidal because I cannot lie down comfortably; whenever I do, the back of my neck and head become unbearably hot.
I am unsure if this is due to vascular issues or autonomic nervous system dysfunction.
Fortunately, I have seen some improvement after taking traditional Chinese medicine, but I still cannot lie down properly.
Additionally, the hospital prescribed me Clonazepam, which has helped with my ability to lie down without overheating, but it does not alleviate the heat sensation when lying down.
It has, however, allowed me to sleep better without fragmented sleep.
I once sat for 34 hours straight because I was disturbed by barking dogs and then drank milk tea afterward, which made it difficult for me to fall asleep naturally and caused the overheating when lying down.
Now that I have reported the police to the district prosecutor's office, I have seen some improvement and can sleep better.
For four years, they kept passing the issue to the Environmental Protection Bureau, which did nothing.
Now, I frequently get up to walk around, and I feel fine, but my legs do not swell or feel warm; only the soles of my feet experience tingling, which I cannot feel when the weather gets hot.
Additionally, I find that using the 4-7-8 breathing technique for sleep often leaves me feeling breathless.

Niming, 20~29 year old female. Ask Date: 2023/03/10

Dr. Lin Zhebin reply Family Medicine


Hello: The symptoms of heat in your head and upper body accompanied by chest tightness, difficulty breathing, rapid heartbeat, and abnormal sensations may suggest neurological and cardiovascular issues.
It is advisable to seek medical evaluation from a neurologist or a cardiologist.
If you have already consulted the relevant specialties and all tests returned normal, it may be worth considering a visit to a psychosomatic medicine specialist.

Reply Date: 2023/03/10

More Info


When it comes to understanding the symptoms of neck and head heat, especially in the context of prolonged sitting, smoking, and dietary habits, it is essential to consider a variety of factors that could be contributing to your discomfort. Your symptoms, which include heat in the neck and head, chest tightness, difficulty breathing, rapid heartbeat, and dizziness, can be indicative of several underlying issues that warrant further investigation by a family medicine specialist or a neurologist.

Firstly, the sensation of heat in the neck and head, particularly after prolonged periods of sitting, may be related to poor posture or muscle tension. Sitting for extended periods can lead to muscle strain, especially in the neck and upper back, which can cause discomfort and a feeling of heat as blood flow increases to the affected areas. This is often accompanied by tension headaches, which can exacerbate feelings of dizziness and discomfort.

Additionally, your history of smoking and consuming a high-sodium, high-fat diet can have long-term effects on your cardiovascular health. Smoking is known to constrict blood vessels, which can lead to increased heart rate and blood pressure, while a diet high in salt and fat can contribute to hypertension and other cardiovascular issues. These factors can lead to symptoms such as chest tightness and difficulty breathing, especially during periods of stress or physical exertion.

The symptoms you describe, including the inability to lie down comfortably due to heat in the neck and head, could also suggest an issue with autonomic nervous system regulation. The autonomic nervous system controls involuntary bodily functions, including heart rate and blood pressure. Dysregulation can lead to symptoms such as palpitations, dizziness, and heat sensations. Conditions such as anxiety or panic disorders can also manifest in physical symptoms, including those you are experiencing.

Given that you have already made positive lifestyle changes, such as adopting a lighter diet and quitting smoking, it is crucial to continue monitoring your symptoms and seek professional help. The fact that you have been prescribed Clonazepam suggests that your healthcare provider is considering anxiety or panic-related issues as part of your symptom profile. While this medication may help with sleep and anxiety, it is important to address the root causes of your physical symptoms.

Here are some recommendations for when to see a family medicine specialist:
1. Persistent Symptoms: If your symptoms persist or worsen, especially if they interfere with your daily activities or quality of life, it is essential to seek medical advice.

2. New Symptoms: If you experience new symptoms, such as severe headaches, visual disturbances, or significant changes in your ability to breathe, you should seek immediate medical attention.

3. Lifestyle Impact: If your symptoms are affecting your ability to perform daily tasks, such as work or social activities, it is time to consult a healthcare professional.

4. Mental Health Concerns: If you find that your symptoms are leading to feelings of hopelessness or suicidal thoughts, it is crucial to seek help immediately. Mental health is just as important as physical health, and there are resources available to support you.

5. Follow-Up on Existing Conditions: If you have pre-existing conditions, such as anxiety or cardiovascular issues, regular check-ups with your family medicine specialist are important to monitor your health and adjust treatment as necessary.

In conclusion, your symptoms warrant a thorough evaluation by a healthcare professional who can assess your physical and mental health comprehensively. They may recommend diagnostic tests, lifestyle modifications, or referrals to specialists such as a neurologist or cardiologist, depending on their findings. Remember, taking proactive steps in managing your health is crucial, and seeking help is a sign of strength.

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